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Doctor insights on: Inhaled Steroid Betamethasone

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Dr. Stewart Tepper
241 doctors shared insights

Betamethasone (Definition)

Betamethasone is a steroid that is given in 2 injections 24 hours apart when there is a strong possibility of preterm delivery. It is given between 24 and 34 weeks. It helps mature the lungs of the baby to decrease ...Read more


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Does inhaled steroid such as flovent ever made you feel better instantly or within an hr?

Does inhaled steroid such as flovent ever made you feel better instantly or within an hr?

Actually, they do.: This is due to the placebo effect that accounts for around 30% of the improvement with any positive thing we do to improve our health. So even though physicians tell you not to expect measurable improvement for 1-2 weeks you may subjectively feel better very soon. Nothing wrong with that. You'll feel even better in a few weeks when the anti-inflammatory effects of the inhaled steroid kicks in. ...Read more

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Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

No, take your med: Qvar is being prescribed to help control the inflammation in your bronchi so you will be less susceptible to wheezing when challenged. Surgery and anesthesia are challenges. Therefore, you really need to stay on your medication regularly so you will have the easiest time when you are recovering. You should take it every day, even the morning of surgery. Get an asthma checkup before anesthesia. ...Read more

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Is it possible that an inhaled steroid (advair) could cause type one diabetes in a child? My brother and sister are both are type one.

No: Inhaled steroids have their effect directly in the lung tissue & reach negligible levels in the blood. There is no evidence that even oral steroid use that achieve much higher blood levels cause t1dm. The primary origin of t1dm is an inflammatory response to a preceding infection that triggers loss of Insulin production. Steroids have been studied in efforts to reverse t1dm. ...Read more

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I'm supposed to be off pred/steroids before my alif surgery, what about advair which is an inhaled steroid & flonase, steroid nose spray? Thoughts?

I'm supposed to be off pred/steroids before my alif surgery, what about advair which is an inhaled steroid & flonase, steroid nose spray? Thoughts?

Adrenal suppression: Being on steroids (inhaled, IV or oral) 3 months, can suppress your adrenal glands, leaving them unable to respond adequately to surgical stress. Your concern is important and having a pre-operative visit with your regular doc/rheumatologist to discuss this issue will be important. Okay to discuss with your surgeon as well. You may benefit from stress steroids around your surgery. ...Read more

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How much systemic absorption would there be from a 9mg betamethasone epidural steroid injection?

How much systemic absorption would there be from a 9mg betamethasone epidural steroid injection?

Hard to say: Everyone is different, but we do know that some amount of steroid (usually a small amount) can be absorbed systemically. ...Read more

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Dr. Gregg Albers
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Dr. Katharine Cox
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